| NPI | 1366790941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN H HUBER Managing Member 417-753-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2008011433) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 2008011433) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MO 2008011433) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2008011433) | |
| 103TH0004X Psychologist, Health (Licence: MO 2008011433) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MO 2008011433) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |